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"Practitioner Wellness, Person Centered Healthcare, Reflective Practice, and the Mission of Mindfulness Training" Commentary on Garneau K, Hutchinson T, Zhan Q, & Dobkin PL Cultivating Person-Centered Medicine in Future Physicians European Journal of P

Peter Wyer, Patricia Quinlan, Susana Alves da Silva

Abstract


A primary purpose of healthcare is the enhancement of health, wellbeing and in understanding and responding to the illness experience in individual patientsA primary purpose of healthcare is the enhancement of health, wellbeing and in understanding and responding to the illness experience in individual patients.


Keywords


Burnout syndrome, clinical knowledge, clinical skills, evidence-based medicine, humanistic medicine, measurement, medical education, methodology, person-centered healthcare, person-centered medicine, practitioner mindfulness, practitioner wellness

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Porter, M.E. (2010). What is value in health care? New England Journal of Medicine 366, 2477-2481.

Krasner, M.S., Epstein, R.M., Beckman, H., Suchman, A.L., Chapman, B., Mooney, C.J. & Quill, T.E. (2009). Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians. Journal of the American Medical Association 302, 1284-1293.

AAMC Workforce Studies. [https://www.aamc.org/data/workforce/]. Accessed 28 August 2013.

Scheffler, R.M., Liu, J.X., Kinfu, Y. & Poz, M.R.D. (2008). Forecasting the global shortage of physicians: an economic- and needs-based approach. WHO Bulletin 86, 497-576.

Prins, J.T., Hoekstra-Weebers, J.E.H.M., Gazendam-Donofrio, S.M., Dillingh, G.S., Bakker, A.B., Huisman, M., Jacobs, B. & van der Heijden, F.M.M.A. (2010). Burnout and engagement among resident doctors in the Netherlands: a national study. Medical Education 44, 236-247.

Shanafelt, T.D., Boone, S., Tan, L., Dyrbye, L.N., Sotile, W., Satele, D., West, C.P., Sloan, J. & Oreskovich, M.R. (2012). Burnout and Satisfaction With Work-Life Balance Among US Physicians Relative to the General US Population. Archives of Internal Medicine 172 (18) 1377-1385.

Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacorte Press.

Krisanaprakornkit, T., Sriraj, W., Piyavhatkul, N. & Laopaiboon, M. (2006). Meditation therapy for anxiety disorders. Cochrane Database Systematic Reviews CD004998 (1).

Ludwig, E.S. & Kabat-Zinn, J. (2008). Mindfulness in Medicine Journal of the American Medical Association 300, 1350-1352.

Silva, S.A. & Wyer, P.C. (2009). Where is the wisdom? II – Evidence-based medicine and the epistemological crisis in clinical medicine. Exposition and commentary on Djulbegovic, B., Guyatt, G.H. & Ashcroft, R.E. (2009). Cancer Control 16, 158-168. Journal of Evaluation in Clinical Practice 15, 899-906.

Haynes, R.B., Devereaux, P.J, Guyatt, G.H. (2002). Physicians' and patients' choices in evidence based practice: Evidence does not make decisions, people do. British Medical Journal 324 (7350) 1350.

Epstein, R.M. (1999). Mindful Practice Journal of the American Medical Association 282, 833-839.

Epstein, R.M. (2003). Mindful Practice in Action (I): Technical Competence, Evidence-Based Medicine, and Relationship-Centered Care. Families Systems Health 21, 1-9.

Maslach, C., Jackson, S.E. & Leiter, M.P. (1996). Maslach Burnout Inventory manual 3rd Edition. Palo Alto, CA: Consulting Psychologists Press.

Cohen, S., Kamarck, T. & Mermelstein, R. (1983). A Global Measure of Perceived Stress. Journal of Health and Social Behavior 24, 385-396.

Beck, A.T., Steer, R.A. & Brown, G.K. (1996). Beck Depression Inventory: manual. San Antonio, TX: The Psychological Corporation.

Brown, K.W. & Ryan, R.M. (2003). The Benefits of Being Present: Mindfulness and Its Role in Psychological Well-Being. Journal of Personality and Social Psychology 84, 822-848.

Neff, K.D. (2003). The Development and Validation of a Scale to Measure Self-Compassion. Self Identity 2, 223-250.

Warnecke, E., Quinn, S., Ogden, K., Towle, N. & Nelson, M.R. (2012). A randomised controlled trial of the effects of mindfulness practice on medical student stress levels. Medical Education 45, 381-388.

Goodman, M. & Schorling, J. (2012). A Mindfulness Course Decreases Burnout and Improves Well-being Among

European Journal for Person Centered Healthcare

Healthcare Providers. International Journal of Psychiatry in Medicine 43, 119-128.

Stewart, M.A. (1995). Effective Physician-Patient Communication and Health Outcomes: A Review. Canadian Medical Association Journal 152, 1423-1433.

Shiralkar, M.T., Harris, T.B., Eddins-Folensbee, F.F. & Coverdale, J.H. (2013). A Systematic Review of Stress-Management Programs for Medical Students. Academic Psychiatry 37, 158-164.

Cohen-Katz, J., Wiley, S.D., Capuano, T., Baker, D.M. & Shapiro, S. (2004). The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout A Quantitative and Qualitative Study. Holistic Nursing Practice 18, 302-308.

Cohen-Katz, J.C., Wiley, S.D., Capuano, T., Baker, D.M., Deitrick, L. & Shapiro, S. (2005). The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout: A Qualitative and Quantitative Study, Part III. Holistic Nursing Practice 19, 78-86.

Cohen-Katz, J.C., Wiley, S.D., Capuano, T., Baker, D.M. & Shapiro, S. (2005). The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout, Part II. Holistic Nursing Practice 19, 26-35.

Kabat-Zinn, J. (1994). Wherever You Go There You Are: Mindfulness Meditation in Everyday Life. New York: Hyperion.

Epstein, R.M. & Hundert, E.M. (2002). Defining and assessing professional competence. Journal of the American Medical Association 287, 226-235.

Nonaka, I. & Takeuchi, H. (1995). The Knowledge-Creating Company. New York: Oxford University Press.

Varela, F.J., Thompson, E. & Rosch, E. (1991). The Embodied Mind. Cambridge, MA: MIT Press.

Argyris, C. & Schon, D. (1974). Theory Into Practice: Increasing Professional Effectiveness. San Francisco: Jossey Bass.

Schon, D.A. (1983). The Reflective Practitioner.: How Professionals Think in Action. New York: Basic Books.

Schon, D.A. (1988). From Technical Rationality to Reflection-In-Action. In: Professional Judgment: A Reader in Clinical Decision Making. Dowie, J. & Elstein, A. (eds.), pp 60-77. Cambridge: Cambridge University Press.

Schon, D.A. (1992). The crisis of professional knowledge and the pursuit of an epistemology of practice. Journal of Interprofessional Care 6, 49-63.

Polanyi, M. (1967). The Tacit Dimension. New York: Anchor Books.

Beach, M.C. & Inui, T. (2006). Relationship-centered Care: A Constructive Reframing. Journal of General Internal Medicine 21, S3-S8.

Tresolini, C. & Pew-Fetzer Task Force. (1994). Health Professions Education and Relationship-Centered Care. San Francisco: Pew Health Professions Commission.

Charon, R. (2001). Narrative Medicine: A model for empathy, reflection, profession, and trust. Journal of the American Medical Association 286, 1897-1902.

Dawber, C. (2013). Reflective practice groups for nurses: A consultation liaison psychiatry nursing initiative: Part 1 - the model. International Journal of Mental Health Nursing 22, 135-144.

Dawber, C. (2013). Reflective practice groups for nurses: A consultation liaison psychiatry nursing initiative: Part 2 - the evaluation. International Journal of Mental Health Nursing 22, 241-248.

Asselin, M.E. (2011). Reflective Narrative: A Tool for Learning Through Practice. Journal for Nurses in Staff Development 27, 2-6.

Mantzoukas, S. (2004). Issues of Representation Within Qualitative Inquiry. Qualitative Health Research 14, 994-1007.

Grossman, P., Niemann, L., Schmidt, S. & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research 57, 35-43.

Baer, R.A., Smith, G.T., Hopkins, J., Krietemeyer, J. & Toney, L. (2006). Using Self-Report Assessment Methods to Explore Facets of Mindfulness. Assessment 13, 27-45.

Baer, R.A., Smith, G.T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D. & Williams, J.M.G. (2008). Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples. Assessment 15, 329-342.

Hojat, M., Louis, D.Z., Markham, F.W., Wender, R., Rabinowitz, C. & Gonnella, J.S. (2011). Physicians’ Empathy and Clinical Outcomes for Diabetic Patients. Academic Medicine 86, 359-364.

Zhang, Y. & Feng, X. (2011). The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: a cross-sectional study. BMC Health Services Research 11, 235.

Ericsson, K., Krampe, R.T. & Clemens, T. (1993). The Role of Deliberate Practice in the Acquisition of Expert Performance. Psychological Review 100, 363-406.

Ericsson, K.A. (1996). The road to excellence: The acquisition of expert performance in the arts and sciences, sports and games. Mahwah, NJ: Lawrence Erlbaum Associates.

Ericsson, K.A. (2004). Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Academic Medicine 79 (Supplement) S70-S81.

Wyer, P.C. & Silva, S.A. (2009). Where Is The Wisdom: I. A Conceptual History of Evidence Based Medicine. Journal of Evaluation in Clinical Practice 15, 891-898.

Charles, C., Gafni, A. & Freeman, E. (2011). The evidence-based medicine model of clinical practice: scientific teaching or belief-based preaching? Journal of Evaluation in Clinical Practice 17, 597-605.

Silva, S.A., Charon, R. & Wyer, P.C. (2011). The marriage of evidence and narrative: scientific nurturance within clinical practice. Journal of Evaluation in Clinical Practice 17, 585-593.

Silva, S.A. & Wyer, P.C. (2013). The Roadmap: a blueprint for evidence literacy within a Scientifically Informed Medical Practice and LEarning model. European Journal for Person Centered Healthcare 1 (1) 53-68.




DOI: http://dx.doi.org/10.5750/ejpch.v2i2.765

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